Cov kab mob ntawm daim tawv nqaij. Multiforme exudative erythema

Erythema multiforme yog ostrovospalitelnym daim tawv nqaij kab mob (dermatosis multiforme). Nws yog tsi ntsees los ntawm "seasonality" thiab ib qho kev rov muaj dua. Multiforme exudative erythema yog ua tau, tshwm sim rau cov neeg laus thiab cov menyuam yaus. Feem ntau, tus kab mob tshwm sim nws tus kheej nyob rau hauv lub caij nplooj ntoos hlav thiab Autumn. Raws li kev xyaum qhia, cov txiv neej yog cov uas raug rau tus kab mob no, thiab ntau tshaj ib nrab ntawm cov neeg raug mob rau cov hnub nyoog uas tsis tau muaj hnub nyoog 20 xyoo.

Raws li cov ntsiab lus ntawm cov kev ntsuam xyuas tau ua, nws muaj peev xwm ua tau zoo tau hais tias lub ntsiab yam tseem ceeb ua rau tus kab mob no yog kis qhov mob (tonsillitis, rheumatism, leprosy, typhus). Nyob rau hauv Feem ntau, exudative erythema multiforme tshwm sim los ntawm gonorrhea, herpes kab mob, mycoplasmosis. Hauv qhov no, cov kab mob hauv plab hnyuv ua ke tau muab sau tseg.

Kev xyaum kho mob kuj tseem nco txog qee lub mob ntawm qhov pib mob vim yog siv cov tshuaj noj (rau kev kho mob ntawm lwm yam mob). Feem ntau cov feem ntau, erythema multiforme exudative muaj thaum lub sij hawm kev kho mob ntawm cov kab txhab tshuaj sulfa pab pawg neeg, raws li tau zoo raws li tshuaj tua kab mob, salicylates thiab barbiturates. Hauv qhov no, cov tshuaj tau siv ob qho tib si nrog lwm yam tshuaj, thiab nws tus kheej. Tsis tshua muaj lub sijhawm no xws li tsim cov kab mob vim yog siv cov tshuaj muaj mercury, iodine lossis arsenic. Ntawm chav kawm, qhov sib xyaw ua ke ntawm cov kis kab mob thiab cov co toxins nrog cov tshuaj tsis cais tawm. Multiform erythema tuaj yeem tshwm sim los ntawm cov kab mob sib kis ntawm cov ntaub so ntswg thiab nyob rau hauv cov kev ua mob tshiab tuaj yeem nrog lossis tsis siv cov kws khomob.

Cov tawv nqaij sawv pob tej zaum yuav nyob rau hauv daim ntawv ntawm cov me ntsis, hlwv, papules los yog npuas liab los yog tsaus liab. Infiltrates (ntshav thiab lymphatic pawg hauv cov ntaub so ntswg) yuav zoo li cov pob zeb loj heev lossis ua papules ntawm me me. Tev plhaw muaj peev xwm lossis tsis tseem ceeb.

Multiforme exudative erythema pib tshwm rau me me thiab cov papules me me, nws txoj kab uas hla ntawm ib mus rau tsib centimeters. Nyob rau hauv lub chav kawm ntawm kev loj hlob ntawm tus kab mob, plaques tau tsim uas tsim raws periphery nrog lub westward mus rau lub chaw. Rashes, raws li txoj cai, tsim kab zauv. Ib qhov chaw ntawm lawv qhov chaw nyob yog sab nraub qaum los yog txhais tes, lub luj tshib, lub ntsej muag, taub hau, lub hauv caug, lub lauj tshib, lub hauv paus, qhov chaw mos. Cov tawv nqaij ntawm daim tawv nqaij ntawm daim di ncauj, qhov ntswg qhov ncauj, oropharynx, vulva thiab lwm tus muaj npe nyob rau hauv daim ntawv ntawm cov mob nyuab siab heev, uas muaj fibrinous film. Lub cev plaub hau ntawm lub hau khwb taub hau tsis raug.

Nyob ntawm seb qhov mob hnyav npaum li cas thiab cov pob liab liab heev, peb hom kab mob raug faib.

Thawj yog muaj papular (yooj yim) daim ntawv. Nyob rau hauv cov ntaub ntawv no, muaj ib qho yooj yim ntawm tus kab mob, nyob rau hauv uas lub ntsiab hom ntawm cov pob ua pob yog plaques, me ntsis thiab papules nrog me ntsis lesion ntawm mucous daim nyias nyias.

Qhov thib ob yog ib daim ntawv nyuj, uas yog thaum muaj tsawg tsawg ntawm cov pob tawg, uas sawv cev los ntawm erythematous plaques. Cov ntaub ntawv npuas nyob hauv plawv ntawm cov quav hniav, thiab npuas kuj pom ib puag ncig ntawm qhov chaw. Rau daim ntawv no ntawm tus kab mob no kuj yog yam ntxwv ntawm cov leeg mucosal.

Daim ntawv thib peb no muaj xws li daim npau taws heev (Stevens-Johnson syndrome). Hauv qhov no, nws cov tawv nqaij thiab qhov ncauj tawm qhov ncauj tawm ntawm qhov ncauj, qhov muag, thaj chaw, qhov chaw hauv cheeb tsam tau pom. Qee zaum, qhov kev txhim kho ntawm Lyell's syndrome yog sau tseg.

Raws li kev xyaum qhia, tus kab mob no yog kis ntawm peb mus rau plaub (hauv cov ntawv me) thiab plaub mus txog rau (rau hnyav ntaub ntawv) lub lis piam. Tus swb yog qhov qeeb qeeb. Hauv qhov no, cov tawv nqaij tsis zoo, raws li txoj cai, tsis tau muab sau tseg.